Chapter 29 - Orthopaedic Injuries

Question 1

A 54-year-old male accidentally shot himself in the leg while cleaning his gun. Your assessment reveals a small entrance wound to the medial aspect of his right leg. The exit wound is on the opposite side of the leg and is actively bleeding. The patient complains of numbness and tingling in his right foot. You should:
Select one:
A. gently manipulate the injured leg until the numbness dissipates.
B. assess distal pulses as well as sensory and motor functions.
C. manually stabilize the leg above and below the site of injury.
D. control the bleeding and cover the wound with a sterile dressing.

Answer 1

D. control the bleeding and cover the wound with a sterile dressing.

Question 2

A(n) \_\_\_\_\_\_\_\_\_\_ fracture occurs in the growth section of a child's bone and may lead to bone growth abnormalities.
Select one:
A. epiphyseal
B. greenstick
C. diaphyseal
D. metaphysical

Answer 2

A. epiphyseal

Question 3

Assessing a person's neurovascular status following a musculoskeletal injury includes all of the following, EXCEPT:
Select one:
A. assessing sensory function.
B. determining capillary refill.
C. assessing motor function. 
D. evaluating proximal pulses.

Answer 3

D. evaluating proximal pulses.

Question 4

Of the following musculoskeletal injuries, which is considered to be the LEAST severe?
Select one:
A. an amputation of an extremity
B. nondisplaced pelvic fracture
C. multiple closed long bone fractures 
D. open fractures of a long bone

Answer 4

B. nondisplaced pelvic fracture

Question 5

Skeletal muscle is also referred to as \_\_\_\_\_\_\_\_\_\_ muscle.
Select one:
A. involuntary
B. striated
C. smooth
D. connective

Answer 5

B. striated

Question 6

The MOST significant hazard associated with splinting is:
Select one:
A. delaying transport of a critically injured patient.
B. reduction in circulation distal to the injury site.
C. compression of nerves, tissues, and vasculature.
D. aggravation of the injury or worsened pain.

Answer 6

A. delaying transport of a critically injured patient.

Question 7

The pectoral girdle consists of the:
Select one:
A. clavicles and rib cage.
B. scapulae and clavicles.
C. acromion and clavicles.
D. sternum and scapulae.

Answer 7

B. scapulae and clavicles.

Question 8

Which of the following joints allows no motion?
Select one:
A. sacroiliac joint
B. sternoclavicular joint
C. skull sutures
D. shoulder joint

Answer 8

C. skull sutures